Active NPI
Breezy Michelle Mendoza, PMHNP, FNP
- Psychiatric/Mental Health Nurse Practitioner
- Glendale, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- AP9650
- Practice address
- 11851 N 51St Ave Ste F140
Glendale, AZ 85304-2847 - Phone
- (480) 882-4545
- Fax
- (623) 242-1314
- NPI assigned
- Nov 21, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | AP61195153 | WA | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 1160775 | TX | |
| Nurse Practitioner | 363L00000X | C-APN.0100289-C-NP | CO | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | AP9650 | AZ | Primary |
Addresses
Primary practice location
11851 N 51St Ave Ste F140
Glendale, AZ 85304-2847
Mailing address
7500 N Dreamy Draw Dr Ste 145
Phoenix, AZ 85020-4668
Phone (480) 882-4545
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 219432 | Medicaid | AZ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ, WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
11361 N 99TH Ave
Suite 400And402
Peoria, AZ 85345-5470
Phone (602) 636-4605
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C-APN.0100289-C-NP | CO | MD | Nurse Practitioner |
| AP9650 | AZ | MD | Psychiatric/Mental Health Nurse Practitioner |
| 1160775 | TX | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tesai,PLC | Current | Accepting new patients | |
| Recovery Innovations, Inc | Current | Accepting new patients | |
| Multicare Health System | Current | Accepting new patients | |
| Multicare Health System | Current | Accepting new patients | |
| Recovery Innovations, Inc | Current | Accepting new patients | |
| Multicare Health System | Current | Accepting new patients | |
| Breezy Mendoza NP LLC | Nurse Practitioner | Past | Accepting new patients |
Locations
9139 W Thunderbird Rd
Ste 265
Peoria, AZ 85381
Phone (602) 777-7011
11361 N 99th Ave
Ste 107
Peoria, AZ 85345
Phone (602) 636-4605
2701 N 16th St
Ste 316
Phoenix, AZ 85006
926 E McDowell Rd
Ste 203
Phoenix, AZ 85006
Phone (623) 439-9494
4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590
222 State Ave N
Kent, WA 98030
Phone (253) 372-7680
311 S L St
Tacoma, WA 98405
Phone (253) 403-1444
Interoperability endpoints
- bmendoza590749@direct.multicare.org
Organizations & group practices 8
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Peoria, AZ
- NPI 1609243518
-
- Neurological Surgery Physician
- Tacoma, WA
- NPI 1497766638
-
- Family Medicine Physician
- Scottsdale, AZ
- NPI 1942518550
-
- Registered Nurse First Assistant
- Glendale, AZ
- NPI 1669063798
Nurse Practitioner
-
- Internal Medicine Physician
- Peoria, AZ
- NPI 1174180780
-
- Diagnostic Radiology Physician
- Tacoma, WA
- NPI 1063711562
-
- Community/Retail Pharmacy
- Spokane, WA
- NPI 1396594875
-
- Community/Behavioral Health Agency
- Raleigh, NC
- NPI 1902776107
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1479686400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1778457600000",
"number": "1679016885",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7500 N DREAMY DRAW DR STE 145",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850204668",
"telephone_number": "480-882-4545"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11851 N 51ST AVE STE F140",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853042847",
"telephone_number": "480-882-4545",
"fax_number": "623-242-1314"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MENDOZA",
"first_name": "BREEZY",
"middle_name": "MICHELLE",
"credential": "PMHNP, FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-11-21",
"last_updated": "2026-05-11",
"certification_date": "2026-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "WA",
"license": "AP61195153",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "TX",
"license": "1160775",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CO",
"license": "C-APN.0100289-C-NP",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "AZ",
"license": "AP9650",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "219432",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Glendale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.